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33D1019757 CLIA NUMBER - DR CHUN CHEN PRIMARY MEDICAL CARE PC

Laboratory Demographics

CLIA Number: 33D1019757

Facility Name: DR CHUN CHEN PRIMARY MEDICAL CARE PC

Facility Address:
2500 NESCONSET HWY BLDG 8 D
STONY BROOK, NY
ZIP 11790
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Facility Phone Number: 631 366-4550

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1407231350

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D1019757
LAB Type Physician Office
Facility Name DR CHUN CHEN PRIMARY MEDICAL CARE PC
Street 2500 NESCONSET HWY BLDG 8 D
City STONY BROOK
State NY
ZIP 11790
Phone 631 366-4550
CertificateType 4
CertificateEffectiveDate 11/26/2023
CertificateExpirationDate 11/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024